Barriers to Implementation of Evidence-Based Nursing Care from the Perspective of Nursing Instructors of Nursing and Midwifery Faculty of Rafsanjan and Kerman, Iran

Evidence-based care is using evidence obtained from research into clinical practice based on the patient's condition and type of illness. This study aimed to investigate the barriers to implementation of evidence-based nursing care based on instructors and educators’ opinion.
This was a cross-sectional study that was performed with the participation of 70 faculty members and non-faculty members of School of Nursing of Rafsanjan and Kerman, Iran, with different educational levels. Inclusion criteria were having at least bachelor's degree and two-years work experience. Data was analyzed using SPSS and descriptive statistics (frequency and percentage).
Women and men instructors comprised 68.6% and 31.4% of respondents, respectively. Most of them (44.3%) were 35 to 44 years of age. In their opinion, the major obstacles to implementation of evidence-based nursing in the education domain was "lack trained staff to use the findings from research in evidence-based care" with 94.3%. In the management domain "lack of knowledge of nursing managers regarding the importance of evidence-based nursing care" with 85.7% and in the individual domain "lack of adequate skills for the implementation of evidence-based practice" and "lack of nurse's knowledge of evidence-based practice" with 85.7% were also mentioned by participants as obstacles.
The main barriers in the application of evidence-based nursing can be noted in the domains of education and management. Therefore, a big step forward in this regard will be providing access to the resources and facilities, library, and continuing education for nursing staff, and updating their information in the field of evidence-based care, which requires cooperation of the managers at different levels of planning.